ICD-10-CM Billable Code

H40.231

Intermittent angle-closure glaucoma, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Intermittent angle-closure glaucoma is a type of eye condition characterized by episodes where the fluid within the eye is temporarily blocked, leading to increased eye pressure. If untreated, it can cause damage to the optic nerve and potentially result in vision loss. This condition specifically affects the right eye in cases classified under the ICD-10 code H40.231. Understanding the causes, symptoms, and available diagnostic methods can help in early detection and management of the condition.

Causes & Symptoms

Clinical Causes: Anatomical features of the eye, such as a naturally narrow drainage angle Age-related changes in eye structures Pupil dilation due to medications, lighting changes, or emotional responses Shifts in the position of the iris that obstruct fluid flow temporarily Family history of angle-closure glaucoma Other eye conditions or trauma that alter eye anatomy

Key Symptoms: Sudden episodes of ocular pain or headache Blurred or decreased vision during episodes Seeing halos around lights Redness in the affected eye Nausea or vomiting accompanied by eye symptoms Feeling of pressure or fullness in the eye

Diagnostic & Treatment

Diagnosis Path: Measuring intraocular pressure (tonometry) Gonioscopy to examine the drainage angle of the eye Visual acuity tests Assessment of the optic nerve health Repeated measurements during symptomatic episodes

Treatment Protocols: Medications such as eye drops to lower eye pressure, including miotics, beta-blockers, or carbonic anhydrase inhibitors Oral medications in some cases Laser procedures like laser iridotomy to create a small hole in the iris that improves fluid flow Surgical interventions if other treatments are ineffective Follow-up care to monitor eye pressure and prevent further episodes

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H40.231 a billable ICD-10 code?
Yes, H40.231 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H40.231?
Clinical documentation must specify the nature of Intermittent angle-closure glaucoma, right eye and any associated comorbidities for accurate reporting.

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